Good Samaritan Services | |
245 Inger Dr Ste 103b Santa Maria CA 93454-8669 | |
(805) 346-8185 | |
(805) 346-8656 |
Full Name | Good Samaritan Services |
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Speciality | Community/Behavioral Health |
Location | 245 Inger Dr, Santa Maria, California |
Authorized Official Name and Position | Sylvia Carolyn Barnard (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8053468185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Good Samaritan Services 245 Inger Dr Ste 103b Santa Maria CA 93454-8669 Ph: (805) 346-8185 | Good Samaritan Services 245 Inger Dr Ste 103b Santa Maria CA 93454-8669 Ph: (805) 346-8185 |
NPI Number | 1689717258 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 07/31/2015 |
Medicare PECOS PAC ID | 6204295603 |
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Medicare Enrollment ID | O20230703001507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689717258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Miranda Fierro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386883114 PECOS PAC ID: 5698013365 Enrollment ID: I20190205003216 |
Provider Name | Chelsea Laurel Jensen |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1366828154 PECOS PAC ID: 8729447123 Enrollment ID: I20240105004062 |
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